Sedation
So Yeun Lee, DDS
PGY2 Pediatric Dental Resident
NYU Langone Pediatric San Diego site
NYU Langone Pediatric San Diego site
San Diego, California, United States
Wai-Yin Chan, DMD
NYU Langone Pediatric Dentistry- San Diego, CA
San Diego, California, United States
Wai-Yin Chan, DMD
NYU Langone Pediatric Dentistry- San Diego, CA
San Diego, California, United States
Daniel J. Kane, DMD, MA
Program Director
NYU Langone Hospitals
Brooklyn, New York, United States
Purpose: The purpose of this study is to evaluate whether there is an increased risk for repeat full mouth oral rehabilitation (FMOR) under general anesthesia (GA) for patients with complex medical history or behavior-related conditions.
Methods: A retrospective chart review at a community health center in San Diego County was conducted for patients aged 1 to 9 years who received FMOR under GA between January 1, 2010 and January 1, 2015. Information collected included demographics, ASA classification, presence of a behavior-related condition, dental diagnosis, date(s) of FMOR and the number of recall visits attended between first and second (if identified) FMOR events.
Results: Out of 262 charts, 119 were girls and 143 were boys and were 1 year to 9 years old at their first GA visit (mean age 4.3 ± 1.86 years). 95% of the children had Medi-Cal, 4% had other insurance and 1% were self-pay patients. Medically complex patients (ASA II and III) are more likely to have repeated GA events compared to healthy patients (ASA I) (P=.019). There are no significant differences between different behavior-related and non-behavior related patients (P=.352).
Conclusion: We can conclude that there is a statistical significance of repeated GA events for medically complex patients regardless of behavior-related condition. Oral hygiene and regular recalls should be emphasized on the medically complex patients.